Two cases of pyogenic granuloma treated by pulsed dye laser combined with cryotherapy

Pyogenic granuloma (PG) is a common vascular tumor which is commonly localized to the face and results in cosmetic problems in children due to ulceration or bleeding. Treatment modalities for PG include surgical excision, electrodessication, CO2 laser, cryotherapy, sclerotherapy, ligation and PDL (pulsed dye laser). Due to good cosmetic results, little pain and rare side effects, PDL has recently been commonly used for the treatment of PG. However, the cost of PDL treatment is expensive and it is not responsive in large PG. Due to these reasons, clinicians often consider other treatment or combined therapies. We report 2 cases of PG treated by PDL combined with cryotherapy. This combination could be a cheaper and less painful therapy for PG than single PDL or cryotherapy.